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General NPI Number Information
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NPI Number | 1386140630
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Entity Type | Individual
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Provider Name | WADE ANTHONY SCHWERDTFEGER MD
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Gender | Male
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Dates
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Enumeration Date | 04/04/2018
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 3115 SW 89TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73159-7901
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Country | US
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Telephone | 405-216-1031
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Fax | 405-216-1032
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Provider Business Mailing Address
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Address Line | 800 STANTON L YOUNG BLVD STE 3400
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5018
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Country | US
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Telephone | 405-271-5964
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Fax | 405-271-3461
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 33905
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License Number State | OK
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